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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Compliance with treatment in asthma and Munchausen syndrome by proxy.</title>
<author><name sortKey="Godding, V" sort="Godding, V" uniqKey="Godding V" first="V" last="Godding">V. Godding</name>
</author>
<author><name sortKey="Kruth, M" sort="Kruth, M" uniqKey="Kruth M" first="M" last="Kruth">M. Kruth</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">1929492</idno>
<idno type="pmc">1793449</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1793449</idno>
<idno type="RBID">PMC:1793449</idno>
<date when="1991">1991</date>
<idno type="wicri:Area/Pmc/Corpus">000100</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Compliance with treatment in asthma and Munchausen syndrome by proxy.</title>
<author><name sortKey="Godding, V" sort="Godding, V" uniqKey="Godding V" first="V" last="Godding">V. Godding</name>
</author>
<author><name sortKey="Kruth, M" sort="Kruth, M" uniqKey="Kruth M" first="M" last="Kruth">M. Kruth</name>
</author>
</analytic>
<series><title level="j">Archives of Disease in Childhood</title>
<idno type="ISSN">0003-9888</idno>
<idno type="eISSN">1468-2044</idno>
<imprint><date when="1991">1991</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
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<front><div type="abstract" xml:lang="en"><p>Among 1648 asthmatic patients, 17 families (1%) were identified as having Munchausen syndrome by proxy. Ten families did not treat their children's, attacks or refused medical care, and seven exaggerated the severity of symptoms to obtain invasive investigations and treatment. All the families had disturbed psychosocial backgrounds. The abuse consisted mainly of neglect, in that necessary treatment was not given. In some cases a more direct form of abuse was observed, when useless and sometimes harmful investigations and treatment were given. We conclude that medical control of the compliance of both parents and children is necessary in the management of childhood asthma.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Arch Dis Child</journal-id>
<journal-title>Archives of Disease in Childhood</journal-title>
<issn pub-type="ppub">0003-9888</issn>
<issn pub-type="epub">1468-2044</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">1929492</article-id>
<article-id pub-id-type="pmc">1793449</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Compliance with treatment in asthma and Munchausen syndrome by proxy.</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Godding</surname>
<given-names>V</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Kruth</surname>
<given-names>M</given-names>
</name>
</contrib>
</contrib-group>
<aff>UCL University Hospital of Mont-Godinne, Yvoir, Belgium.</aff>
<pub-date pub-type="ppub"><month>8</month>
<year>1991</year>
</pub-date>
<volume>66</volume>
<issue>8</issue>
<fpage>956</fpage>
<lpage>960</lpage>
<abstract><p>Among 1648 asthmatic patients, 17 families (1%) were identified as having Munchausen syndrome by proxy. Ten families did not treat their children's, attacks or refused medical care, and seven exaggerated the severity of symptoms to obtain invasive investigations and treatment. All the families had disturbed psychosocial backgrounds. The abuse consisted mainly of neglect, in that necessary treatment was not given. In some cases a more direct form of abuse was observed, when useless and sometimes harmful investigations and treatment were given. We conclude that medical control of the compliance of both parents and children is necessary in the management of childhood asthma.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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